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44 Cards in this Set
- Front
- Back
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Erythematous, scaling plaques on the plantar surface and between the toes |
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What is the most common fungal infection seen in developed countries? Where does it thrive? What is the fungus that causes it?
What are the three clinical patterns of infection? |
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What type of tinea pedis is this? |
Interdigital type |
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What type of tinea pedis? What is the other name for it?
What is it often associated with (think nail fungus) |
Moccasin type: chronic hyperkeratotic type |
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What is the syndrome that may present with moccasin type? What does one hand show? |
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What type of tinea pedis is this? What do you see? Will it be itchy and painful? What type of hypersensitivity to dermatophyte? |
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Identify each type of tinea pedis (vesicular, moccasin, interdigital). |
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What is the easiest and most effective method to diagnose fungal infections of the hair, skin, and nail?
What does it dissolve making it easier to see the hyphae? |
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What are the diagnostic features in this KOH exam? |
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What is a common problem with KOH if you have already started anti fungal therapy? Two other things (think sample size and med school student) |
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What are two effective therapies for all types of tinea pedis? |
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What are first and second line therapies for tinea pedis? Difference between the two? |
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What is the common name for tinea corporis? It refers to dermatophysis of the ________, usually affecting the trunk and limbs.
Is it itchy? What part is the lesion is most active? Where should scrapings for KOH exam be taken from?
What is a variant that appears in the groin? (common and proper name).
What part of the body should you always check in these patients? |
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Annular lesion with central clearing. Diagnosis? |
Tinea corporis |
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What are these all examples of? |
Tinea corporis |
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What is a dermatophyte infection of the groin called? Common name? Why may it lack scale? Where should you look if you see someone with tinea cruris? |
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Why should you perform a fungal culture on tinea corporis? |
Could be caused by different fungal species depending on environment. |
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What should you apply to tinea corporis until it shows resolution?
First line? Second line? |
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Tinea corporis:
If poor response to topical agents, animal suspicion, or large surface area, what should you administer?
What is the drug? |
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Nail thickening and subungual debris |
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What is a chronic fungal infection of the nailbed? What disease/infection does it usually start with? Does it respond well or poorly to topical antifungals? |
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What is the most common type of subungal onychomycosis (distal or proximal)? What dermatophyte causes it (we said that tinea pedis frequently precedes it so...) |
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What type of onychomycosis may respond well to topical therapy and is less common?
What type of onychomycosis may herald immunosuppression? |
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What type of onychomycosis? Proximal, distal, or superficial? |
Distal |
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What is ABSOLUTELY NECESSARY before oral anti fungal treatment of onychomycosis? What other conditions may it mimic? |
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What is the preferred method for confirming onychomycosis fungus? |
Fungal culture |
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What is the first line treatment of distal sublingual onychomycosis?
What are the major side effects?
What do patients on terbinafine have to get? |
Terbinafine
Hepatotoxicity, reversible taste disturbance, drug interactions, skin reactions
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What are second line therapies for distal subungal onychomycosis?
What type of DSO may these be helpful in?
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